We appreciate the opportunity to clarify our recommendations for evidence-based rehabilitation
of attention deficits after traumatic brain injury and stoke. In our 2011 article,
1
we recommended a Practice Standard for incorporating both direct-attention training
and metacognitive strategy training to promote compensatory strategies and generalization
to real-life tasks. We also recommended a general Practice Option for the use of computer-based
interventions as an adjunct to clinician-guided treatment. In our 2019 article,
2
we retained our recommended Practice Standard. We also noted 2 articles by Vallet-Azouvi
et al
3
,4
that reported efficacy of direct-attention training for specific components of working memory. These interventions did not rely on computer-based interventions. However, we noted
a class I study
5
that relied on computer-based interventions to increase performance on working memory
tasks and self-reported cognitive difficulties. Based primarily on these 3 studies,
we made a stronger but more precise recommendation for the use of direct attention training, including the use of computer-based
tasks, for specific, modular impairments of working memory. We considered this Practice
Guideline to be a refinement of our previous, more general practice option. We continue
to consider the use of computer-based tasks as an adjunct to clinician-guided treatment;
in fact, our 2019 article explicitly continued to “emphasize the importance of therapist
involvement and intervention . . . over the stand-alone use of computer-based tasks.”
2
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References
- Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008.Arch Phys Med Rehabil. 2011; 92: 519-530
- Evidence-based cognitive rehabilitation: systematic review of the literature from 2009 through 2014.Arch Phys Med Rehabil. 2019; 100: 1515-1533
- Rehabilitation of the central executive of working memory after severe traumatic brain injury: two single-case studies.Brain Inj. 2009; 23: 585-594
- Modularity in rehabilitation of working memory: a single case study.Neuropsychol Rehabil. 2014; 24: 220-237
- Computerized training of working memory in a group of patients suffering from acquired brain injury.Brain Inj. 2010; 24: 1173-1183
Article Info
Publication History
Published online: June 27, 2022
Accepted:
May 18,
2022
Received:
May 18,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Disclosures: none.
Identification
Copyright
© 2022 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
ScienceDirect
Access this article on ScienceDirectLinked Article
- Can We Successfully Improve Attentional Impairments After Brain Injury With Computer-Based Interventions? Letter to the Editor on “Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014”Archives of Physical Medicine and Rehabilitation
- PreviewThe series of systematic reviews on cognitive rehabilitation for people with traumatic brain injury or stroke published in Archives of Physical Medicine and Rehabilitation present the current evidence and recommendations for clinical practice. The authors performed an impressive amount of work summarizing the literature from 1998 until 2014. We are looking forward to the coming update covering years that are more recent. To support this update, we would like to address a recommendation put forward in the latest article1 that appears to raise some confusion in the clinical field.
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